Severe Hyperkalemia During a Robot-Assisted Total Radical Prostatectomy in a Patient with Stage 3a Chronic Kidney Disease: A Case Report.
A A Pract
; 18(3): e01760, 2024 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-38411589
ABSTRACT
A 63-year-old man with stage 3a chronic kidney disease (CKD) and mild hyperkalemia was scheduled for a robot-assisted prostatectomy. He was being treated with lisinopril. Owing to mild hyperkalemia (6.2 mmol/L), lisinopril was discontinued, and sodium polystyrene sulfonate was administered on the day before surgery. Three hours after incision, electrocardiographic signs of hyperkalemia manifested with the serum potassium concentration rising to 8 mmol/L. Although hyperkalemia is a common and well-documented side effect of angiotensin-converting enzyme inhibitors in patients with CKD, we report an extreme increase in potassium within a very short time period despite prior drug discontinuation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Robótica
/
Insuficiência Renal Crônica
/
Hiperpotassemia
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
A A Pract
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Bélgica